Individual
ANDREA GARRAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCASA
Contact information
Practice address
2505 COURT DR, GASTONIA, NC 28054-2140
(704) 884-2069
Mailing address
4530 HUBBARD FALLS DR, CHARLOTTE, NC 28269-2356
(704) 830-8060
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3354
NC
101YM0800X
Mental Health Counselor
Primary
10980
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154753101
MENTAL HEALTH / SUBSTANCE USE
NC
Enumeration date
08/01/2013
Last updated
11/11/2021
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